Amanda Nicole Castro, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Imperial, CA
NPI 1184575797 · NPPES record last updated Feb 9, 2026
Key facts
- NPI
- 1184575797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95038446 (CA)
- Practice address
- 2402 Imperial Business Park Dr # 101
Imperial, CA 92251-4004 - Phone
- (760) 355-5248
- NPI assigned
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
139 W Tyler PL
Brawley, CA 92227-7766
1699 N Imperial Ave
El Centro, CA 92243-1320
200 Oceangate
Suite 100
Long Beach, CA 90802-4316
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260424002397 | CA | Practitioner - Nurse Practitioner | 0840767067 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95038446 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95038446 | CA | Yes |
Addresses
Primary practice location
2402 Imperial Business Park Dr # 101
Imperial, CA 92251-4004
Mailing address
139 W Tyler PL
Brawley, CA 92227-7766
Other providers in Imperial, CA
- Freddy Carreno
- Nallely Yasel Carvajal
- Diana Ivette Castaneda
- Michelle Marie Castillon
- Aida Castro
- Kyara Dominik Castro
- Maria Del Carmen Castro
- Trinidad Carmen Castro
- Melissa Cenizo
- Centerpoint Medical Inc
All providers in Imperial, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.